<!DOCTYPE html PUBLIC "-//W3C//Dtd HTML 4.01 transitional//EN" "http://www.w3.org/tr/html4/loose.dtd">
<html>
	<head>
		<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
		<title>TP02 Exo3</title>
		<link rel="stylesheet" type="text/css" href="tp02_exo3.css" /> 
	</head>
	
	<body>
		<form method=get>
			<table border=0>
			
				<tr>
					<td>Nom</td>
					<td><input type=text name="nom"></td>
				</tr>
				
				<tr>
					<td>Prénom</td>
					<td><input type=text name="prenom"></td>
				</tr>
				
				<tr>
					<td>Sexe</td>
					<td>
						Homme : <input type=radio name="sex" value="m"> <br />
						Femme : <input type=radio name="sex" value="w">
					</td>
				</tr>
				
				<tr>
					<td>Operateur de téléphonie mobile</td>
					<td>
						Bouygues Telecom : <input type=checkbox name="operator" value="bouygues"><br />
						Orange : <input type=checkbox name="operator" value="orange"><br />
						SFR : <input type=checkbox name="operator" value="sfr"><br />
						Free : <input type=checkbox name="operator" value="free"><br />
						Autre : <input type=checkbox name="operator" value="other"><br />
					</td>
				</tr>
				
				<tr>
					<td>Services proposés</td>
					<td>
						<select multiple="services">
							<option value="call">Appels</option>
							<option value="sms">SMS</option>
							<option value="web">Internet</option>
						</select>
					</td>
				</tr>
				
				<tr>
					<td>Prix mensuel (le plus proche)</td>
					<td>
						<select name="price">
							<option value="0">0 euro</option>
							<option value="5">5 euros</option>
							<option value="10">10 euros</option>
							<option value="15">15 euros</option>
							<option value="20">20 euros</option>
							<option value="25">25 euros</option>
							<option value="30">30 euros</option>
						</select>
					</td>
				</tr>
				
				<tr>
					<td colspan=2>
					<input type="submit" value="Envoyer">
					<input type="reset" value="Tout effacer">
					</td>
				</tr>
				
			<table>
		</form>
	</body>
</html>